Arizona Department of Economic Security
Your Partner for a Stronger Arizona

AZ At Work Logo

Main menu

Documents Center

Reports, Forms, Pamphlets and Policies

You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

Find a Document

  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
  3. You can click on the column headers to sort the search results.


Download Number Name Effective Date
DCAD-LIHWAP-1 Low Income Household Water Assistance Program Policy (Rev. 5 or ED 5/24/23) 05/24/2023
Statistical Bulletin April 2023 Statistical Bulletin April 2023 05/17/2023
AzEIP-TAB-05112023 Transition Technical Assistance Bulletin 05/11/2023
SSBG Plan 2023-2024 Draft SSBG Plan 2023-2024 05/08/2023
DCAD-GRIEVANCES Grievances Policy 05/05/2023
30th Month March 2023 30th Month Financial Report FY 2023 through March 2023 05/02/2023
FAA-1565A Nutrition Assistance Drug Testing Agreement 05/01/2023
FAA-0060A Authority to Release Student Information 05/01/2023
FAA-0620A Treatment Center Change Report 05/01/2023
GCI-1032A IFSP Transition Meeting Invitation Prior Written Notice 05/01/2023

Download Number Name Effective Date
FAA-1004A-SXLP Designación de Titular Sustituto para la Tarjeta de EBT (Letra Extra Grande) 05/01/2023
FAA-0574A-XLP Withdrawal or Stop Benefits/Appeal Request (Large Extra Print) 05/01/2023
CCA-1175A Landlord Permission to Provide Family Child Care Service 05/01/2023
GCI-1033A Transition Conference Summary 05/01/2023
FAA-1701A-LP Verification of Terminated Employment (Large Print) 05/01/2023
CCA-0221A Family Child Care Provider Statement of Services 05/01/2023
FAA-0574A-SXLP Retirar o Suspender Beneficios/Solicitud de Apelación (Letra Extra Grande) 05/01/2023
FAA-1530A ABAWD Participation and Referral Notice 05/01/2023
DDD-0211A Home Modifications Service Referral and Request 05/01/2023
GCI-1033A-S Resumen de la Conferencia de Transición 05/01/2023

Download Number Name Effective Date
Statistical Bulletin April 2023 Statistical Bulletin April 2023 05/17/2023
SSBG Plan 2023-2024 Draft SSBG Plan 2023-2024 05/08/2023
30th Month March 2023 30th Month Financial Report FY 2023 through March 2023 05/02/2023
Statistical Bulletin March 2023 Statistical Bulletin March 2023 04/21/2023
LIHWAP FY23 Low Income Household Water Assistance Program (LIHWAP) Plan 04/19/2023
LIHEAP Plan FY23 Low-Income Home Energy Assistance Program (LIHEAP) Plan 04/19/2023
30th Month February 2023 30th Month Financial Report FY 2023 through February 2023 03/31/2023
SCSEP State Plan 2020-2023 Senior Community Service Employment Program (SCSEP) State Plan 2020-2023 03/15/2023
Statistical Bulletin February 2023 Statistical Bulletin February 2023 03/10/2023
30th Month January 2023 30th Month Financial Report FY 2023 through January 2023 03/06/2023

Download Number Name Effective Date
DCAD-LIHWAP-1 Low Income Household Water Assistance Program Policy (Rev. 5 or ED 5/24/23) 05/24/2023
DCAD-GRIEVANCES Grievances Policy 05/05/2023
DCAD-LIHEAP-1 Low Income Home Energy Assistance Policy 04/26/2023
DCAD-ERAP Emergency Rental Assistance Program Policy 04/01/2023
VR-3.2 3.2 Eligibility and Order of Selection 03/31/2023
VR-2.1 2.1 Protection, Use, and Release of Client Information 03/31/2023
VR-12.2 12.2 Maintenance 12/30/2022
VR-7.1 7.1 General Services 12/30/2022
VR-4.8 4.8 Job Retention IPE Development 12/30/2022
VR-12.9 12.9 Client Equipment 12/30/2022

Download Number Name Effective Date
AzEIP-TAB-05112023 Transition Technical Assistance Bulletin 05/11/2023
DDD-2200A Parents As Paid Providers for Their Minor Children 05/01/2023
DDD-2131B Volunteers Needed/ Necesitan Voluntarios 05/01/2023
AAA-1296A Protect Yourself and Medicare 05/01/2023
AzEIP-TAB-05012023 Updated Consent to Bill Health Insurance form (GCI-1041A) Guidance Technical Assistance Bulletin 05/01/2023
CSE-1061A Establishing Paternity 05/01/2023
CSE-1061A-S Establecer la Paternidad 05/01/2023
EAP-1008A Housing and Utility Assistance Programs 04/01/2023
SNA-1075A Need Help Finding A Job 04/01/2023
CCA-1313A-S Ayuda para el Cuidado de Niños a Estudiantes de Tiempo Completo 04/01/2023

Back to Top